Provider Demographics
NPI:1265706550
Name:TUNNEL HILL WALK IN MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:TUNNEL HILL WALK IN MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:B
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-516-4426
Mailing Address - Street 1:PO BOX 1117
Mailing Address - Street 2:
Mailing Address - City:TUNNEL HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30755-1117
Mailing Address - Country:US
Mailing Address - Phone:706-516-4426
Mailing Address - Fax:706-516-4429
Practice Address - Street 1:3541 CHATTANOOGA RD
Practice Address - Street 2:
Practice Address - City:TUNNEL HILL
Practice Address - State:GA
Practice Address - Zip Code:30755-9393
Practice Address - Country:US
Practice Address - Phone:706-516-4426
Practice Address - Fax:706-516-4429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-04
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty